Skip to main content

Poly-L-Lactic Acid for the Face

  • Chapter
  • First Online:
Minimally Invasive Aesthetic Procedures

Abstract

The key reason that motivates people to seek dermatologists and plastic surgeons today is the search for a more youthful, rested and attractive appearance.

A thorough understanding of the dynamic anatomical and physiological changes associated with the aging face has enabled a broader and more sophisticated assessment of such changes.

The current facial rejuvenation approach uses a three-dimensional process to treat facial volume loss, displacement and loss of fat compartments, bone reabsorption, besides expression lines and skin texture changes.

The objective of this chapter is to describe objectively the use of poly-l-lactic acid (PLLA), a potent biostimulator, to treat skin sagging, facial contour, as well as loss of volume and bone support through neocollagenesis.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Fitzgerald R, Vleggaar D. Facial volume restoration of the aging face with poly-l-lactic acid. Dermatol Ther. 2011;24(1):2–27.

    Article  Google Scholar 

  2. Lowe NJ, Maxwell CA, Lowe P, Shah A, Patnaik R. Injectable poly-l-lactic acid: 3 years of aesthetic experience. Dermatol Surg. 2009;35(Suppl 1):344–9.

    Article  CAS  Google Scholar 

  3. Goldman MP. Cosmetic use of poly-L-lactic acid: my technique for success and minimizing complications. Dermatol Surg. 2011;37(5):688–93.

    Article  CAS  Google Scholar 

  4. Palm M, Chayavichitsilp P. The “skinny” on Sculptra: a practical primer to volumization with poly-L-lactic acid. J Drugs Dermatol. 2012;11(9):1046–52.

    CAS  PubMed  Google Scholar 

  5. Thioly-Bensoussan D. A new option for volumetric restoration: poly-L-lactic acid. J Eur Acad Dermatol Venereol. 2006;20(Suppl 1):12–6.

    Article  Google Scholar 

  6. Beer K. Dermal fillers and combinations of fillers for facial rejuvenation. Dermatol Clin. 2009;27(4):427–32.

    Article  CAS  Google Scholar 

  7. Lam SM, Azizzadeh B, Graivier M. Injectable poly-L-lactic acid (Sculptra): technical considerations in soft-tissue contouring. Plast Reconstr Surg. 2006;118(3 Suppl):55S–63S.

    Article  CAS  Google Scholar 

  8. Lowe NJ. Optimizing poly-L-lactic acid use. J Cosmet Laser Ther. 2008;10(1):43–6.

    Article  Google Scholar 

  9. Lacombe V. Sculptra: a stimulatory filler. Facial Plast Surg. 2009;25(2):95–9.

    Article  CAS  Google Scholar 

  10. Apikian M, Roberts S, Goodman GJ. Adverse reactions to polylactic acid injections in the periorbital area. J Cosmet Dermatol. 2007;6(2):95–101.

    Article  CAS  Google Scholar 

  11. Vochelle D. The use of poly-L-lactic acid in the management of soft-tissue augmentation: a five-year experience. Semin Cutan Med Surg. 2004;23(4):223–6.

    Article  Google Scholar 

  12. Vleggaar D, Fitzgerald R, Paul Lorenc Z. The need for consensus recommendations on the use of injectable Poly-L-Lactic Acid for facial and nonfacial volumization. J Drugs Dermatol. 2014;13(4/ Suplements 28):s44.

    PubMed  Google Scholar 

  13. Salles AG, Lotierzo PH, Gimenez R, Camargo CP, Ferreira MC. Evaluation of the poly-L-lactic acid implant for treatment of the nasolabial fold: 3-year follow-up evaluation. Aesthet Plast Surg. 2008;32(5):753–6.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Albuquerque, C., Calil, K., Reis, V. (2020). Poly-L-Lactic Acid for the Face. In: Costa, A. (eds) Minimally Invasive Aesthetic Procedures . Springer, Cham. https://doi.org/10.1007/978-3-319-78265-2_72

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-78265-2_72

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-78264-5

  • Online ISBN: 978-3-319-78265-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics